The World Bank pioneered global HIV and AIDS financing early in the emergency and remains committed to achieving Millennium Development Goal 6, to halt by 2015 and begin to reverse the spread of HIV and AIDS, through prevention, care, treatment, and mitigation services for those affected by HIV and AIDS.
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Ratings for the Multi-Sectoral AIDS
Project (MAP) for Guinea were as follows: outcomes were
moderately satisfactory, the risk to development outcome was
substantial,... Show More + the Bank performance was moderately
satisfactory, and the Borrower performance was also
moderately satisfactory. Some lessons learned included:
Guinea offers an example of where program advances in the
fight against HIV/AIDS can occur even where political
instability and political leadership (both of which are
usually assumed to be prerequisites) are not entirely
adequate. To a large extent this was due to the
project's ability to find champions among those groups
who were committed. To a large extent this was due to the
project's ability to find champions among those groups
who were committed. In Guinea, these groups were found
among: (i) the public sector (especially, some of the
'second tier' ministries and local authorities at
regional and prefectoral levels); (ii) the private sector
(particularly the mining sector and several labor unions);
and (iii) communities. Eventually, these private sector and
community-level initiatives were able to overcome (at least
to a certain extent) uneven government commitment and weak
capacity. Guinea demonstrates that insufficient attention is
paid during project implementation to the risks and risk
mitigation measures proposed in theproject appraisal
document (PAD). In the case of the Guinea MAP, three of the
four output to objective risks were correctly identified
(though perhaps incorrectly rated), but the measures proved
to be wholly inadequate to alter the situation. While
project preparation cannot be expected to pre-identify all
of the potential solutions to problems which might arise,
supervision missions should be required to link their
recommendations at least in part to the risks so as to track
the effectiveness of the mitigation measures for future
projects. This will seem to be the Bank's counterpoint
to 'learning by doing.' Show Less -